MEDICARE: DR. STEVEN NATOW M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	208044	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SN011U0910	OTHER	NY	BLUE CROSS

General Provider Information

NPI Number	:	1609866987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN NATOW M.D.

Provider Business Mailing Address
First Line	:	949 CENTRAL AVE
Second Line	:
City	:	WOODMERE
State	:	NY
Zip	:	11598-1204
Country	:	US
Telephone Number	:	516-295-1921
Fax Number	:	516-295-9304

Provider Business Practice Location Address
First Line	:	949 CENTRAL AVE
Second Line	:
City	:	WOODMERE
State	:	NY
Zip	:	11598-1204
Country	:	US
Telephone Number	:	516-295-1921
Fax Number	:	516-295-9304

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	04/23/2008

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